Ellen Lischin-Smith, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

21344 Issued in MD

Practice address

713 Classon Ave Apt 110
Brooklyn, NY 11238-3797

Phone

(347) 226-0897

NPI assigned

Nov 3, 2015

Last updated

Nov 3, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Ellen Dorsey Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 1, 2024 through Jul 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bradford Counseling Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Severna Park, MD
  • NPI 1619441631
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446508800000",
    "number": "1942673611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 CLASSON AVE APT 110",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112383797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 CLASSON AVE APT 110",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112383797",
            "telephone_number": "347-226-0897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISCHIN-SMITH",
        "first_name": "ELLEN",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-03",
        "last_updated": "2015-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "21344",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "73 080672",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "DORSEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa Fletcher-Smith Inc
• Lisa Klein
• Lisa Primich Physical Therapy PC
• Lisa Robateau & Associates LLC
• Lisan Medical Supplies, Inc
• Cynthia S Lischner, MS, RD, CDN
• Adam J Lish, MD
• Bruce J. Lish, DDS
• Simone Lishka, PSYD
• Anastasia Yevgenyevna Lisitsyna, MD

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.